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Original Articles
- Effects of a Web-Based Korean Triage and Acuity Scale Learning Program on Triage Self-Efficacy and Triage Performance Ability for Nurses in Emergency Department
- Hyo-Jin Kim, Hee-Young Kang
- J Korean Acad Nurs 2019;49(2):171-180. Published online April 30, 2019
- DOI: https://doi.org/10.4040/jkan.2019.49.2.171
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Abstract
PDF Purpose The Korean Triage and Acuity Scale (KTAS) is a tool used to classify the severity and urgency of emergency department (ED) patients, focusing on their symptoms. In consideration of the importance of the KTAS, a web-based learning program has emerged as a new mode of education; it enables ED triage nurses to access it anytime and anywhere, and according to their own learning abilities. This study aimed to develop a web-based KTAS learning program and evaluate its effects on self-efficacy and triage performance ability in ED nurses.
Methods A quasi-experimental design with a non-equivalent control group pretest-posttest was used. The conceptual framework was Bandura's self-efficacy theory. There were 30 participants in the experimental group and 29 in the control group. The experimental group attended an orientation and 4 sessions of a web-based KTAS learning program. The learning program lasted 280 minutes over five weeks, consisting of 40 minutes of orientation and four 60-minute sessions.
Results The scores of self-efficacy, triage performance ability in KTAS level, and chief complaints significantly increased in the experimental group compared to the control group. In addition, the numbers of under-triage in KTAS significantly decreased in the experimental group in comparison to the control group.
Conclusion The results suggest that the learning program was effective in improving ED nurses' level of self-efficacy and triage performance ability (KTAS level and KTAS chief complaint). Accordingly, the web-based KTAS learning program can be applied as an education intervention to improve ED nurses' triage skill.
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Citations
Citations to this article as recorded by
- Optimizing triage education for emergency room nurses: A scoping review
Hui Ju Shin, Subin Park, Hyun Joo Lee
Nurse Education Today.2025; 144: 106452. CrossRef - Construction of learning objectives and content for emergency triage nurses in tertiary general hospitals: A Delphi study
Linyuan Zhang, Bo Gao, Fang He, Chao Wu, Juan Du, Li Zhang, Juan Liang, Hongjuan Lang
Nurse Education in Practice.2024; 80: 104145. CrossRef - Effectiveness of the Patient’s Severity Classification Competency Promotion Virtual Reality Program of Nursing Students during the COVID-19 Pandemic Period
Eunju Lee, Gyuli Baek, Yeonhui Hwang
Healthcare.2023; 11(8): 1122. CrossRef - Effects on Triage Competency Based on Nursing Task Performance and Self-Efficacy of Nurses in Regional Emergency Medical Institutions
Su Jin Kim, Su Ol Kim
Korean Journal of Adult Nursing.2022; 34(3): 304. CrossRef - The Effect of Competency-Based Triage Education Application on Emergency Nurses’ Triage Competency and Performance
Sun-Hee Moon, In-Young Cho
Healthcare.2022; 10(4): 596. CrossRef - Factors Influencing Patient Satisfaction in an Emergency Department Based on the Use of the Korea Triage and Acuity Scale
Keun Hee Park, Min Yoon, Myoung Soo Kim
Korean Journal of Adult Nursing.2022; 34(3): 338. CrossRef - Factors associated with the undertriage of patients with abdominal pain in an emergency room
Boo Young Oh, Kisook Kim
International Emergency Nursing.2021; 54: 100933. CrossRef - Facilitators and Barriers of the Triage Process based on Emergency Nurses’ Experience with the Korean Triage and Acuity Scale: A Qualitative Content Analysis
Sun-Hee Moon, Mi-Kyeong Jeon, Deok Ju
Asian Nursing Research.2021; 15(4): 255. CrossRef - Effect of problem-based learning on severity classification agreement by triage nurses
Kyeongmin Jang, Eunmi Jo, Kyoung Jun Song
BMC Nursing.2021;[Epub] CrossRef - Remote Diagnosis System of Uremia Complicated with Sleep Disorder and Effectiveness of Nursing Intervention
Yiqian Wang, Jing Zhu, Jun Cao, Dan Zheng, Lihua Wang, Yuvaraja Teekaraman
Contrast Media & Molecular Imaging.2021; 2021: 1. CrossRef - Comparing the Effect of Web-based Networking Education and Lectures on Learning of Hospital Triage in Nursing Students in Armed Forces Universities of the Islamic Republic of Iran in the Covid-19 Pandemic
Ashkan Morovati, Zahra Farsi, Nahid Rajai, Seyede Azam Sajadi
Military Caring Sciences.2021; 8(2): 127. CrossRef
- Optimizing triage education for emergency room nurses: A scoping review
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- 12 Download
- 8 Web of Science
- 11 Crossref
- Evaluation of Validity of the Korean Triage and Acuity Scale
- Heejung Choi, Jong Sun Ok, Soo Young An
- J Korean Acad Nurs 2019;49(1):26-35. Published online February 28, 2019
- DOI: https://doi.org/10.4040/jkan.2019.49.1.26
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Abstract
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Purpose The aim of this study was to identify the predictive validity of the Korean Triage and Acuity Scale (KTAS).
Methods This methodological study used data from National Emergency Department Information System for 2016. The KTAS disposition and emergency treatment results for emergency patients aged 15 years and older were analyzed to evaluate its predictive validity through its sensitivity, specificity, positive predictive value, and negative predictive value.
Results In case of death in the emergency department, or where the intensive care unit admission was considered an emergency, the sensitivity, specificity, positive predictive value, and negative predictive value of the KTAS were 0.916, 0.581, 0.097, and 0.993, respectively. In case of death in the emergency department, or where the intensive or non-intensive care unit admission was considered an emergency, the sensitivity, specificity, and positive predictive value, and negative predictive value were 0.700, 0.642, 0.391, and 0.867, respectively.
Conclusion The results of this study showed that the KTAS had high sensitivity but low specificity. It is necessary to constantly review and revise the KTAS level classification because it still results in a few errors of under and over-triage. Nevertheless, this study is meaningful in that it was an evaluation of the KTAS for the total cases of adult patients who sought help at regional and local emergency medical centers in 2016.
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Citations
Citations to this article as recorded by- Predictive validity of resource-adjusted Korean Triage and Acuity Scale in pediatric gastrointestinal tract foreign body patients
Jin Hee Lee, Jin Hee Jung, Hyun Noh, Mi Jin Kim
Scientific Reports.2024;[Epub] CrossRef - Effect of storage duration on outcome of patients receiving red blood cell in emergency department
Yu-Kyung Koo, Sol Ji Choi, Soon Sung Kwon, Jinwoo Myung, Sinyoung Kim, Incheol Park, Hyun Soo Chung
Scientific Reports.2024;[Epub] CrossRef - Inter hospital external validation of interpretable machine learning based triage score for the emergency department using common data model
Jae Yong Yu, Doyeop Kim, Sunyoung Yoon, Taerim Kim, SeJin Heo, Hansol Chang, Gab Soo Han, Kyung Won Jeong, Rae Woong Park, Jun Myung Gwon, Feng Xie, Marcus Eng Hock Ong, Yih Yng Ng, Hyung Joon Joo, Won Chul Cha
Scientific Reports.2024;[Epub] CrossRef - A novel deep learning algorithm for real-time prediction of clinical deterioration in the emergency department for a multimodal clinical decision support system
Arom Choi, Kwanhyung Lee, Heejung Hyun, Kwang Joon Kim, Byungeun Ahn, Kyung Hyun Lee, Sangchul Hahn, So Yeon Choi, Ji Hoon Kim
Scientific Reports.2024;[Epub] CrossRef - Validity of the Korean triage and acuity scale in older patients compared to the adult group
Ho Sub Chung, Myeong Namgung, Dong Hoon Lee, Yoon Hee Choi, Sung Jin Bae
Experimental Gerontology.2023; 175: 112136. CrossRef - Predictive indicators for determining red blood cell transfusion strategies in the emergency department
Junhyup Song, Sinyoung Kim, Hyun Soo Chung, Incheol Park, Soon Sung Kwon, Jinwoo Myung
European Journal of Emergency Medicine.2023; 30(4): 260. CrossRef - Development and Validation of Simple Age-Adjusted Objectified Korean Triage and Acuity Scale for Adult Patients Visiting the Emergency Department
Seung Wook Kim, Yong Won Kim, Yong Hun Min, Kui Ja Lee, Hyo Ju Choi, Dong Won Kim, You Hwan Jo, Dong Keon Lee
Yonsei Medical Journal.2022; 63(3): 272. CrossRef - Baseline and clinical characteristics of older adults admitted to the intensive care unit through the emergency room: Analysis based on age groups
Ye Lim Lee, Sang Ook Ha, Young Sun Park, Jeong Hyeon Yi, Sun Beom Hur, Ki Ho Lee, Ki Yong Hong, Ju Young Sin, Duk Hwan Kim, Jun Kwon Cha, Jin Hyuck Kim
Hong Kong Journal of Emergency Medicine.2021; 28(2): 85. CrossRef - Long-term impact of coronavirus disease 2019 pandemic on emergency department utilization in a metropolitan emergency department in Korea
Seung Yeon Hwang, Jae Kwang Lee, Hyun Sik Ryu, Seong Soo Park, Jun Young Choi, Hye Ji Lee, Seung Ho Hur, Yeong Geun Park, Hyun Soo Choi
Pediatric Emergency Medicine Journal.2021; 8(2): 57. CrossRef - Modification and Validation of a Complaint-Oriented Emergency Department Triage System: A Multicenter Observational Study
Dong Hyun Choi, Won Pyo Hong, Kyoung Jun Song, Tae Han Kim, Sang Do Shin, Ki Jeong Hong, Jeong Ho Park, Joo Jeong
Yonsei Medical Journal.2021; 62(12): 1145. CrossRef - Pediatric Emergency Department Utilization and Coronavirus Disease in Daegu, Korea
Kyung Mi Jang, Ji Young Ahn, Hee Joung Choi, Sukhee Lee, Dongsub Kim, Dong Won Lee, Jae Young Choe
Journal of Korean Medical Science.2021;[Epub] CrossRef - Factors Associated with School Nurses’ Triage Competency in South Korea
Jaehee Yoon, Heesook Son
International Journal of Environmental Research and Public Health.2021; 18(16): 8279. CrossRef - Characteristics of children with trauma compared to those with disease in the emergency department: a Korean single regional emergency medical center study
Yosub Hwang, Ha Young Jo, Hye Won Yoo, Young Mi Kim, Hye-Young Kim
Pediatric Emergency Medicine Journal.2020; 7(2): 108. CrossRef - Alert Override Patterns With a Medication Clinical Decision Support System in an Academic Emergency Department: Retrospective Descriptive Study
Junsang Yoo, Jeonghoon Lee, Poong-Lyul Rhee, Dong Kyung Chang, Mira Kang, Jong Soo Choi, David W Bates, Won Chul Cha
JMIR Medical Informatics.2020; 8(11): e23351. CrossRef
- Predictive validity of resource-adjusted Korean Triage and Acuity Scale in pediatric gastrointestinal tract foreign body patients
- 721 View
- 21 Download
- 13 Web of Science
- 14 Crossref
- Usefulness of Korean Version of Behavioral Cue Checklist for Predicting of Patient Violence in Emergency Departments
- Jang Mi Kim, Eun Nam Lee
- J Korean Acad Nurs 2018;48(3):289-297. Published online January 15, 2018
- DOI: https://doi.org/10.4040/jkan.2018.48.3.289
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Abstract
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Abstract Purpose This study aimed to evaluate the usefulness of a behavioral cue checklist (BCC) containing 17 items developed by Wilkes et al. (2010) for identifying potentially violent patients in emergency departments.
Methods This was a prospective observational study to evaluate the usefulness of the Korean version of a BCC (K-BCC) as an assessment tool for predicting patient violence in emergency departments, and was conducted over 4 weeks in a regional emergency medical center located in B City. A total of 1,324 patients were finally analyzed.
Results Logistic regression analysis was performed to investigate whether each item of the K-BCC predicts violence, and a parsimonious set of 8 statistically significant items was selected for the tool. Receiver operating characteristic analysis of the BCC showed that the area under the curve was .97 (95% confidence interval: .94~1.0). The sensitivity, specificity, positive predictive value, and negative predictive value at the cut-off score of 2 were 75.6%, 98.9%, 68.2%, and 99.2%, respectively.
Conclusion The K-BCC was found to be useful in predicting patient violence toward emergency department staff. This tool is simple, and fast to use and can play a significantly role identifying potentially violent patients. Owing to this advance identification, this tool can be helpful in preventing the potential for violence from manifesting as violent behaviors.
- 213 View
- 6 Download
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